Detroit 74TH Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DETROIT 74TH MEDICAL CLINIC INC

Doing business as

Betty G Turcios MD

Practice address

4805 Lorain Ave
Cleveland, OH 44102-3351

Phone

(216) 631-5749

Fax

(216) 631-5870

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Betty G Turcios

Title

Owner

Phone

(216) 631-5749

Specialties & licenses 2

Addresses

Other names 1

• Betty G Turcios MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1346690757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023351",
            "telephone_number": "216-631-5749",
            "fax_number": "216-631-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023351",
            "telephone_number": "216-631-5749",
            "fax_number": "216-631-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT 74TH MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "TURCIOS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-631-5749"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betty G Turcios MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.